1

Diabetes:
You first call 911. Then basic CPR guidelines. Sometimes diabetic patients will have a special solution of sugar, but unless they told you where that may be or instructed you on how to use it, then this would be for naught. Stay with the friend until the medics arrive to keep your friend safe. Of course, this is one scenario and other physicians may review other scenarios on healthtap.
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3

Serious injury:
The brain relies on glucose for metabolism and developing a coma as a result of an Insulin overdose is very serious. Their recovery will depend on how long glucose was low and other factors including the presence of prior vascular disease in the brain. There could definitely be long term impairment as a result.
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6

Insulin:
Insulin is a protein, and like egg white and other proteins, it can "cook", "freeze" or otherwise go bad. If it does not look right, and especially if it is not working to lower glucose, take it back to your pharmacy and get a replacement.
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9

Depends:
Hi. That depends on how high the creatinine went up to. Metformin should be stopped if creatinine goes up much because risk of a serious side effect goes up. Some sulfonylureas can accumulate if creatine goes up much. Insulin tends to accumulate in renal insufficiency too, but dose can be micro-adjusted if necessary. Your fried should talk with his/her doc and maybe see a kidney doc. Good luck!
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11

Continuous insulin:
The pump keeps a constant basal level of Insulin in the blood at all times. The person can also dial in a bolus dose at meal times to cover rises in blood sugar with eating. A good description of the pump can be found here http://www. Medtronic. Com/for-healthcare-professionals/products-therapies/diabetes/therapies/insulin-pump-therapy/index. Htm.
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Thank:
Thank you for your question. I would suggest you look at the website for the american diabetes association, www. Diabetes. Org. This site will provide a wealth of information for you and your friend. As you may know, type 2 diabetes is a condition where the body develops a resistance to insulin. As a result, the body has to make more and more Insulin to process glucose properly. The excess in glucose and Insulin eventually has several bad effects on the body, and can result in heart disease, vascular disease, kidney disease, eye disease and nerve problems. A diabetic diet is low in carbohydrates, especially simple sugars. By following a diabetic diet, and losing weight if one is overweight, some people can treat and even cure their diabetes without medicines.
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14

No:
As I mentioned earlier, stem cell treatment is not an approved therapy for diabetes. Your friend is being taken for a ride, she will be rid of her money but not diabetes, and may suffer additional damage to her health.
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16

Not very, but...:
Insulinshock was once a psych treatment that patients described as heavenly; muff your attempt & it's brain damage. If you are considering suicide, please talk with a few wise people first. Since I enjoy good health, I have no right to preach, but if the vast majority of people who have considered taking their lives, even if they are moderately disabled, have been glad afterwards that they failed.
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17

Diabetes educators:
Please discuss this with a certified diabetes educator or your doctor. Oftentimes, Insulin is prescribed based on patient weight, regimented diet or a patient may be given a sliding scale, or an insulin/carbohydrate ratio if taking short acting insulin. Your diabetes specialist will know how to adjust Insulin doses for dietary/exercise changes to help avoid hypoglycemia.
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18

Who knows? ..:
I think the more urgent question is why are you concerned about ways of dying? If you have homicidal or suicidal urges you should not act on them and seek emergent psychiatric help. Only someone who has experienced a death from hypoglycemic coma can answer your question - a rather unlikely source of information in this life..
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22

Temporary low:
Insulin overdoses may cause severe hypoglycemia which would deprive the brain of glucose. If caught in time, administering glucose, glucagon, or simply eating (if conscious) would solve the problem. Death by Insulin overdose is fortunately, not too common.
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23

Any insulin.:
Any injection of Insulin into a non diabetic is technically an overdose. The symptoms of overdose are the same in diabetics and non diabetics - tremor, sweating, rapid heart rate, hunger, and if untreated - neurologic sx including seizure.
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24

Insulin overdose:
Your blood sugar will drop so you need to eat to bring bs up. Other treatment option is IV water with sugar in it. Lastly, there is a hormone called glucagon that you can inject to counteract Insulin and bring blood sugar up.
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25

Too much insulin:
This is when too much Insulin was used which can lead to low blood sugar. The treatment is to give back glucose to prevent low blood sugar. Depending on which Insulin was used, it might take a little or a lot of keep your blood sugar from dropping. You might need oral glucose and in severe cases, you might need IV glucose. Call your doctor who knows you best for the best course of action.
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26

Hypoglycemia:
Hi. Hypoglycemia is the big, serious adverse reaction to insulin therapy. When blood sugar gets low enough (progressively worse below 50) the brain doesn't have enough fuel to run operations, and confusion results. The sympathetic nervous system is activated, which may help restore blood sugar. If sugar gets lower still, seizure & coma can follow. Death can occur. Be safe!!! To your health!
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27

Insulin overdose:
An overdose occurs when an excessive / dangerous dose of a drug is used. Insulin overdose can lead to hypoglycemia & in severe cases: coma, disorientation, seizures or death. REF: http://www.diabetes.co. Uk/insulin/insulin-overdosage. Html
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28

Hypoglycemia:
Insulin over dose can range from mild to severe. Prolonged low blood sugar can result in irreversible brain damage and even death. Mild symptoms which occurs more frequently may include headaches, tremor sweating/fatigue, irritability and extreme symptoms or 'Insulin shock' is a medical emergence. All patients on Insulin should be educated to recognize signs/symptoms/management of low blood sugar.
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29

Sweating+ drowsiness:
As the glucose levels drop to hypoglycemic levels, the body will produce the above symptoms. The brain must have glucose and oxygen at all times and those "sensors" trigger the responses.
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30

Yes, but not likely:
At your age the body is pretty resilient the mind still sharp and most errors of Insulin administration are engineered to be relatively small. But given the right circumstances it certainly could and does happen.
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